It is a moderately paced tune, concerning an adolescence as a rebellious New Jersey teen, with lyrics[1] written in the first-person. The lyrics feature a chorus that is progressively modified as the song continues, with the first chorus being "I hid in the clouded wrath of the crowd but when they said 'Sit down,' I stood up," while the second chorus switches to "clouded warmth...'come down,' I threw up" and the third finishes the song with "mother breast...'pull down,' I pulled up."

During the Born to Run tours and following Darkness Tour, Springsteen often performed an extended version of this song, extending it with a long, sometimes exaggerated and/or fictional biographical narration of his youth and his passion for guitar playing.

The song was featured on the soundtracks of the films Big Daddy (1999) and Gracie (2007).